Development of a novel benchmark method to identify and characterize best practices in home care across six European countries: design, baseline, and rationale of the IBenC project

Autor: Anja Declercq, Palmi V. Jonsson, IBenC, Lisanne I. van Lier, Vjenka Garms-Homolová, Johannes H Smit, Harriet Finne-Soveri, Stasja Draisma, Liza Van Eenoo, Judith E. Bosmans, Hein P.J. van Hout, Graziano Onder, Henriëtte G. van der Roest
Přispěvatelé: General practice, Psychiatry, Amsterdam Neuroscience - Mood, Anxiety, Psychosis, Stress & Sleep, APH - Mental Health, APH - Methodology, APH - Aging & Later Life, APH - Quality of Care, APH - Digital Health, Læknadeild (HÍ), Faculty of Medicine (UI), Heilbrigðisvísindasvið (HÍ), School of Health Sciences (UI), Háskóli Íslands, University of Iceland
Rok vydání: 2019
Předmět:
Zdroj: van der Roest, H G, van Eenoo, L, van Lier, L I, Onder, G, Garms-Homolová, V, Smit, J H, Finne-Soveri, H, Jónsson, P L V, Draisma, S, Declercq, A, Bosmans, J E, van Hout, H P J & IBenC project 2019, ' Development of a novel benchmark method to identify and characterize best practices in home care across six European countries: Design, baseline, and rationale of the IBenC project ', BMC Health Services Research, vol. 19, no. 1, 310 . https://doi.org/10.1186/s12913-019-4109-y
BMC Health Services Research
BMC Health Services Research, 19(1):310. BioMed Central
BMC Health Services Research, Vol 19, Iss 1, Pp 1-11 (2019)
ISSN: 1472-6963
DOI: 10.1186/s12913-019-4109-y
Popis: Publisher's version (útgefin grein)
Background: Europe's ageing society leads to an increased demand for long-term care, thereby putting a strain on the sustainability of health care systems. The 'Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of Community Care' (IBenC) project aims to develop a new benchmark methodology based on quality of care and cost of care utilization to identify best practices in home care. The study's baseline data, methodology, and rationale are reported. Methods: Home care organizations in Belgium, Finland, Germany, Iceland, Italy, and the Netherlands, home care clients of 65 years and over receiving home care, and professionals working in these organizations were included. Client data were collected according to a prospective longitudinal design with the interRAI Home Care instrument. Assessments were performed at baseline, after six and 12 months by trained (research) nurses. Characteristics of home care organizations and professionals were collected cross-sectionally with online surveys. Results: Thirty-eight home care organizations, 2884 home care clients, and 1067 professionals were enrolled. Home care clients were mainly female (66.9%), on average 82.9 years (± 7.3). Extensive support in activities of daily living was needed for 41.6% of the sample, and 17.6% suffered cognitive decline. Care professionals were mainly female (93.4%), and over 45 years (52.8%). Considerable country differences were found. Conclusion: A unique, international, comprehensive database is established, containing in-depth information on home care organizations, their clients and staff members. The variety of data enables the development of a novel cost-quality benchmark method, based on interRAI-HC data. This benchmark can be used to explore relevant links between organizational efficiency and organizational and staff characteristics.
The IBenC project was funded by the 7th Framework Programme of the European Commission (Grant No. 305912) [20]. The contents of this article reflect only the authors’ views and the European Commission is not liable for any use that may be made of the information contained therein.
Databáze: OpenAIRE
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